A Republican bill with 1 Democratic cosponsor · See the cosponsor
Last activity — Read twice and referred to the Committee on Finance.
In committee
Introduced and handed to a committee in the chamber it started in.
The committee holds it, and most bills are never heard from again. A hearing or a committee vote would be news; silence is the usual outcome, and it kills the bill without anyone voting against it.
Its path through Congress
- Introduced
- In Committee
What this bill would do
The "Save Our Safety-Net Hospitals Act of 2025" aims to amend the Social Security Act regarding Medicaid payments. It specifically modifies limitations on disproportionate share hospital payment adjustments. The bill changes how certain hospital payments and costs are accounted for. It also allows States to use unspent federal allotments from previous years to increase hospital payment adjustments. Additionally, it provides a way for States to retroactively modify their plans to facilitate these increases.
Yes· 3 of 5
- Scored +5
Does this put more money into Medicaid, the health coverage for people on low incomes?
The bill increases Medicaid disproportionate share hospital payments by allowing states to use unspent allotments.
- Scored +4
Does this make health care easier to get in general?
By increasing funding for safety-net hospitals, the bill supports the stability of healthcare services for eligible populations.
- Scored +4
Would households on low incomes be better off under this?
The bill bolsters funding for hospitals that serve individuals eligible for medical assistance under state plans or waivers.
The opposite
- Scored -1
Does this reduce what the federal government spends?
The bill allows states to utilize previously unspent federal Medicaid allotments for hospital payments.
Who it would affect, and how
Potential Positive Impacts for People
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Increased funding for hospitals: The bill allows States to use unspent portions of their Federal fiscal year allotments to increase payment adjustments for hospitals (Section 2(b)(2)(A)).
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Support for hospitals serving specific populations: The bill includes provisions for individuals who are eligible for medical assistance under a State plan or waiver, specifically when a hospital has incurred costs that exceed payments received from title XVIII or applicable plans (Section 2(a)(1)(B)(iii)).
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Flexibility for State programs: States are granted the authority to retroactively modify provisions of their Medicaid State plans or waivers to allow for increased hospital payment adjustments (Section 2(b)(2)(C)(i)).
Potential Negative Impacts for People
- No specific negative impacts are explicitly detailed in the provided text.
Groups and Interests Ranking
Every group the model scored this bill for, from -10 to +10. Tap or hover a score for the reason it gave.
- Healthcare
- Does this put more money into Medicaid, the health coverage for people on low incomes? — The bill increases Medicaid disproportionate share hospital payments by allowing states to use unspent allotments. Does this make health care easier to get in general? — By increasing funding for safety-net hospitals, the bill supports the stability of healthcare services for eligible populations.
- Demographic And Interest Groups
- Would households on low incomes be better off under this? — The bill bolsters funding for hospitals that serve individuals eligible for medical assistance under state plans or waivers. Would people in cities be better off under this? — Safety-net hospitals are frequently located in urban areas, and this bill increases their disproportionate share hospital payment adjustments.
- Social Issues And Justice
- Is this likely to lift people out of poverty? — Increased funding for safety-net hospitals can provide better support for low-income individuals receiving medical assistance.
- Economy And Finance
- Does this reduce what the federal government spends? — The bill allows states to utilize previously unspent federal Medicaid allotments for hospital payments.
- 9/9/2025
- Read twice and referred to the Committee on Finance.
- 1 Cosponsor added.
- Introduced in Senate
4 bills Congress.gov lists as related to this one — companions in the other chamber, earlier versions, and bills this one absorbed or was folded into.
Kirsten GillibrandDemocrat · New York